Preventing Smoking Relapse In Postpartum Women

Johnson, Joy L.; Ratner, Pamela A.; Bottorff, Joan L.; Hall, Wendy A.; Dahinten, V. Susan

doi:10.1097/00006199-200001000-00007

Cited by 87 publications

(79 citation statements)

References 30 publications

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“…The items are scaled from 1 (never) to 4 (always), with higher scores indicating more happiness. The composite scale of these four items has demonstrated acceptable internal consistency (Johnson et al, 2000). In the current study, the Cronbach's alpha was .75.…”

Section: Other Study Variablesmentioning

confidence: 50%

Quality of Preterm Infants’ Night Sleep: and Online Community-Based Survey of Maternal Factors and Perceptions of Infants’ Nighttime Awakenings and Sleep Problems

Ali

Wendy²,

Fay³

et al. 2014

IJANS

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Background: Between one-quarter and one-third of infants aged six months to five years have sleeping problems. Infants' night sleep patterns, in particular problematic night waking with crying, are a common concern for parents. Many factors can influence the development of infants’ night sleep patterns and sleep problems, including parental interaction. Objectives: To examine the associations between premature infants’ nighttime awakening, mothers’ reports of sleep problem severity, and maternal factors, including mothers’ styles of attachment and behaviors used to settle their infants to sleep. Method: The cross sectional survey study used a web-based questionnaire to collect data from a community-based sample of 105 mothers of singleton premature infants aged 5-6 months (corrected age) across a number of English speaking countries. The main outcome measures were mothers’ perceptions of infants’ nighttime awakenings (frequency and duration) and presence of infant sleep problems. Results: Of the 55% of mothers who reported that their infants had sleep problems, 17% described the problem as serious. The majority of infants woke 2.1 times per night for an average of 45.7 minutes per night. Mothers’ style of attachment and personal history of sleep problems predicted the duration of the infants’ nighttime awakening, whereas maternal active physical comforting predicted the frequency of nighttime awakenings. Conclusions: The findings can guide healthcare providers to screen mothers for an anxious style of attachment, perceptions of infant sleep problems, and use of active physical comforting strategies for bedtime settling when assessing premature infants’ sleep problems. Keywords: Maternal Attachment, Nighttime Awakenings, Premature Infant, Settling Strategies, Sleep Problem

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Section: Other Study Variablesmentioning

confidence: 50%

Quality of Preterm Infants’ Night Sleep: and Online Community-Based Survey of Maternal Factors and Perceptions of Infants’ Nighttime Awakenings and Sleep Problems

Ali

Wendy²,

Fay³

et al. 2014

IJANS

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“…Breast-feeding and mental health were protective factors, whereas partners who smoked and the greater amount smoked before pregnancy had adverse effects. 18,48 One intervention referred women to individual behavior change counseling during prenatal care in addition to standard cessation counseling from her physician. Although additional cessation counseling did not yield significantly lowered relapse rates, researchers found that greater proportions of the intervention group reported either not smoking or reducing their consumption by 50% or more.…”

Section: Interventions That Maintain Smoking Cessation During Pregnancymentioning

confidence: 99%

“…34,41 Interventions that involve the woman's partner 34,41 need further exploration. Some researchers propose extending smoking cessation programs into the postpartum period 12,18,34 or as a part of well-baby care. 11 The effects, costs, and outcomes of program extension have implications for developing a theoretic model of postpartum relapse and maintenance and for planning and implementing effective interventions.…”

Section: Further Research and Recommendationsmentioning

confidence: 99%

Smoking Cessation in Pregnancy: A Review of Postpartum Relapse Prevention Strategies

Fang¹,

Goldstein

Butzen³

et al. 2004

The Journal of the American Board of Family Medicine

113

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Objective: Review and examine existing research, current strategies, and directions for future research on smoking cessation relapse and relapse prevention in pregnancy and postpartum.Methods: A MEDLINE/PubMed search in 2002 and 2003 for articles containing the key words "smoking," "pregnancy," "cessation," and "cessation relapse prevention" and references of retrieved papers yielded a review of more than 500 articles. Only 14 of these addressed program-based strategies to increase cessation among pregnant women through relapse prevention programs.Conclusion: Although there is much information on the rationale and strategies for smoking cessation for pregnant women, fewer studies exist on how to prevent relapse. Throughout the past decade, tobacco use has remained the single most important modifiable cause of poor pregnancy outcome in the United States. Smoking accounts for 20% of deliveries of infants with low birth weights, 8% of preterm births, and 5% of all perinatal deaths. Smoking during pregnancy and in postpartum contributes to sudden infant death syndrome and changes in brain and nervous system development. The direct medical costs of a complicated birth for a smoker are 66% higher than for nonsmokers. 1 Relapse rates range from 70% to 85% among women who smoke but quit at some time during their pregnancy. A recent 10-year study (1987 to 1996) of 8808 pregnant women and 178,499 nonpregnant women of childbearing age indicated that the prevalence of current smoking has decreased significantly among both pregnant (16.3% to 11.8%) and nonpregnant women (26.7% to 23.6%).2 This drop in smoking over time among pregnant women was primarily caused by the overall decline in smoking initiation rates among women of childbearing age, not by an increased rate of smoking cessation related to pregnancy.Although one fifth of pregnant smokers spontaneously quit by the time of their first antenatal visit, 3 and pregnant women are half as likely as nonpregnant women to be smokers, 2 an estimated 20.4% of women smokers continue smoking throughout their pregnancies. 4 For women who do quit during pregnancy and who received a planned intervention, between 6.2% and 37.2% remained smoke-free. The range of relapse rates is broad because of the varying success of the cessation intervention strategy. Between 29% and 85% of women who get a planned intervention relapse after delivery. 5-16Although there is much information on why and how pregnant women should quit, fewer data exist on how to prevent relapse. This article is a literature review on relapse and relapse prevention in pregnancy; we looked at existing research, current strategies, and directions for future research.

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“…632 after 1 year in the control vs. intervention group, respectively. 28,29 This variability in smoking and cessation rates may be accounted for in part by different smoking policies in the different countries. In Germany, tobacco control activities are only just developing and are met with intense lobbying activities on behalf of the tobacco industry.…”

Section: Introductionmentioning

confidence: 99%

Smoking During Pregnancy and Postpartum: Smoking Rates and Intention to Quit Smoking or Resume After Pregnancy

Hannöver

Thyrian

Ebner

et al. 2008

Journal of Women's Health

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Preventing Smoking Relapse In Postpartum Women

Abstract: Smoking cessation interventions focusing on the prenatal period have failed to achieve long-term abstinence. Interventions can be strengthened if they are extended into the postpartum period.

Cited by 87 publications

References 30 publications

Quality of Preterm Infants’ Night Sleep: and Online Community-Based Survey of Maternal Factors and Perceptions of Infants’ Nighttime Awakenings and Sleep Problems

Quality of Preterm Infants’ Night Sleep: and Online Community-Based Survey of Maternal Factors and Perceptions of Infants’ Nighttime Awakenings and Sleep Problems

Smoking Cessation in Pregnancy: A Review of Postpartum Relapse Prevention Strategies

Smoking During Pregnancy and Postpartum: Smoking Rates and Intention to Quit Smoking or Resume After Pregnancy

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